| NPI | 1992014385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60392303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0067305) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2022-05-04 |