| NPI | 1235310145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 46590) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A98805) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2022-02-01 |