| NPI | 1427498005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 4775) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 173725) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-05-29 |