| NPI | 1437771912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61588921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-10168) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-11-26 |