| NPI | 1235424334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD188753) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60357350) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-01-29 |