| NPI | 1033741665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61307467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 8971084) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2026-02-18 |