| NPI | 1326381856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 117756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60832670) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-08-08 |