| NPI | 1184053498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN17489) |
| 207Q00000X Family Medicine (Licence: WA MD60528246) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2023-08-10 |