| NPI | 1447630868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 67544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0005729) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-10-08 |