| NPI | 1689894586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60133877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0067615) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-11-16 |