| NPI | 1457333866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 227525) |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2021-06-04 |