| NPI | 1477864932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID o-0716) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60328681) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-02-10 |