| NPI | 1053842526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 009388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60935864) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-09-26 |