| NPI | 1306973979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 23624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M9065) |
| 207Q00000X Family Medicine (Licence: WY 10309A) | |
| 207Q00000X Family Medicine (Licence: CO DR.0057992) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-07-03 |