| NPI | 1891825022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 4045) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR-50509) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-02-25 |