| NPI | 1316575574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61381815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 1016872) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD61381815) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-02-03 |