| NPI | 1447201439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0053913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 27071) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-04-27 |