| NPI | 1457855975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61145600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV CL0208) |
| 207Q00000X Family Medicine (Licence: CA 20A17715) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-11-19 |