| NPI | 1205832433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 32030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0034346) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-08-13 |