NPI | 1427352947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51521) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO 51521) |
207Q00000X Family Medicine (Licence: WY pending) | |
Enumeration Date | 2010-12-23 |
Last Update Date | 2023-12-14 |