| NPI | 1992716161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0037364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3528) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-01-13 |