| NPI | 1285298414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 7068) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61390638) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2025-04-25 |