| NPI | 1235360819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-7438) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60932350) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2021-09-28 |