| NPI | 1225416266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61469753) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 3591) |
| 207Q00000X Family Medicine (Licence: WV 3591) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-10-25 |