| NPI | 1215296926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 52612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12232) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2021-05-07 |