| NPI | 1942266291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR. 0026087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 045772) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-01-13 |