| NPI | 1487929832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 62969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A127114) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-12-02 |