| NPI | 1316002504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 62664741205) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-04-05 |