| NPI | 1225326853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 59420) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0070281) |
| 207Q00000X Family Medicine (Licence: WA MD61405535) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2023-06-09 |