| NPI | 1982672366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60805565) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0048338) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-04-26 |