| NPI | 1467433177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0039586) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4031) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-06-07 |