| NPI | 1275897241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A137281) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-05-15 |