| NPI | 1346739653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 133450) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-04-25 |