| NPI | 1538287107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0030984) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 30984) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-04-03 |