| NPI | 1619136017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0067824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT192347) |
| 207Q00000X Family Medicine (Licence: DC MD040308) | |
| 207Q00000X Family Medicine (Licence: MA 260889) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-09-29 |