| NPI | 1285816710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0063746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60277200) |
| 207Q00000X Family Medicine (Licence: IN 01064200A) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-08-30 |