| NPI | 1508092784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60287574) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL-3266) |
| 207Q00000X Family Medicine (Licence: CO DR49117) | |
| 207Q00000X Family Medicine (Licence: AK MED6633) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2013-09-24 |