| NPI | 1346232592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO MD2002022546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0000747) |
| 207Q00000X Family Medicine (Licence: MO 2002022546) | |
| 207Q00000X Family Medicine (Licence: AZ 61535) | |
| 207Q00000X Family Medicine (Licence: KS 0441013) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-04-05 |