| NPI | 1407091341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 17902) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0068011) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2022-12-08 |