| NPI | 1467578799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD d0086550) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 7939A) |
| 207Q00000X Family Medicine (Licence: DC md046860) | |
| 208600000X Surgery (Licence: OH 57012332) | |
| 207Q00000X Family Medicine (Licence: WA MD60132209) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-03-27 |