| NPI | 1306940424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0058643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301080883) |
| 207Q00000X Family Medicine (Licence: MI 4448461) | |
| 207R00000X Internal Medicine (Licence: CA a64478) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-11-20 |