NPI | 1558740175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 321633) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0060835) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2023-03-28 |