| NPI | 1295801124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 57325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00044002) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2024-11-20 |