| NPI | 1295777886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 36180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 011405) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-08-13 |