| NPI | 1225272651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD157695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR49311) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2022-06-14 |