| NPI | 1346264561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 12820A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0056096) |
| 207Q00000X Family Medicine (Licence: TX M0100) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-03-11 |