| NPI | 1851552442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0055819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 7186) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-03-05 |