| NPI | 1275645194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 50323) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A70922) |
| 207R00000X Internal Medicine (Licence: CA A70922) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-05-12 |