| NPI | 1285780809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46702) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-05-31 |