| NPI | 1427407824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-14835) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0006271) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-05-14 |