| NPI | 1437351889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 22460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101241023) |
| 207Q00000X Family Medicine (Licence: WA MD61098141) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-11-30 |