| NPI | 1821318734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0068874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD449362) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2025-10-14 |