| NPI | 1821031469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0049000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 30246) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-04-07 |