| NPI | 1609935360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0047541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A73615) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-06-22 |