| NPI | 1366837163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD218380) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60833456) |
| 207Q00000X Family Medicine (Licence: CA A144005) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-01-15 |