| NPI | 1407020449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60173861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD d77435) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-03-26 |