| NPI | 1477015063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0075904) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD478338) |
| 207Q00000X Family Medicine (Licence: OH 35.148505) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-09-26 |