| NPI | 1447203229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 42176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9800773) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-05-26 |