| NPI | 1588607816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CO41315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 41315) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-12-13 |