| NPI | 1467418681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD159669) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 35537) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-03-17 |