| NPI | 1851612923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0050762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 3649) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-07-21 |