| NPI | 1316434426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD201426) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60867337) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2021-10-14 |