| NPI | 1851656623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059316) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017738) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-05-22 |