| NPI | 1144648031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD178966) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60679324) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-04-08 |