| NPI | 1528326576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0071422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX s2260) |
| 207Q00000X Family Medicine (Licence: WV 26439) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2024-01-29 |