| NPI | 1942741129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.138603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0070535) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-09-08 |