| NPI | 1952629024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35120633) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-06-17 |