| NPI | 1437103009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002087) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-01-30 |