| NPI | 1205802097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 120919) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072225) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-12-28 |