| NPI | 1952677957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A160468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0052979) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2020-08-08 |