| NPI | 1093026387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60294297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD162496) |
| 207Q00000X Family Medicine (Licence: NM MD2015-0417) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-09-20 |