| NPI | 1518251115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-059401) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-08-31 |