| NPI | 1487979589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60966200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3063) |
| 207Q00000X Family Medicine (Licence: FL ME114455) | |
| 207Q00000X Family Medicine (Licence: LA MD.207328) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2023-12-07 |