| NPI | 1922316082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 12167) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 48985) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2021-02-23 |