| NPI | 1144740705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.006820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018125) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2026-01-13 |