| NPI | 1558351940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 40426) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD428949) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-08-30 |