| NPI | 1194846881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 47916) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016153) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-11-06 |