| NPI | 1528086170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 37745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0058653) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-09-28 |