| NPI | 1205907268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD29252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G81829) |
| 207Q00000X Family Medicine (Licence: CO DR.0069187) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-10-12 |