| NPI | 1275657504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CO 0050719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9705) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-12-17 |