| NPI | 1568431542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0054478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 47995) |
| 207Q00000X Family Medicine (Licence: MN 49043) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-02-06 |