| NPI | 1447233887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0040241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.133981) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2024-06-06 |