| NPI | 1306037726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 52657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 8374A) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2013-09-19 |