| NPI | 1497404701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD227020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG210698) |
| 207Q00000X Family Medicine (Licence: WA MD70026962) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-11-28 |