NPI | 1932403987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057385) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-1600-11) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2023-10-30 |