| NPI | 1396945713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60408201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD152933) |
| 207Q00000X Family Medicine (Licence: CO DR.0064776) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2024-05-23 |