| NPI | 1366474850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0061179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 44180) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-05-04 |