| NPI | 1437773330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0074538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61303793) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-01-22 |