| NPI | 1982819413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 50274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 27685) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-11-22 |