| NPI | 1144725847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61231456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD.MD.61231456) |
| 207Q00000X Family Medicine (Licence: OH 35.143079) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-10-28 |