| NPI | 1477849503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51645) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4057) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-08-14 |