| NPI | 1427518687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO212668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071650) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2023-10-24 |