| NPI | 1174729719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066203) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 2116) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-09-15 |