| NPI | 1225531098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61107798) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2023-08-25 |