| NPI | 1497702781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 7068) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 23720) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2017-02-16 |