| NPI | 1710942131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 36252) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-09-12 |