| NPI | 1932122702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0042158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 6746A) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-11-09 |