| NPI | 1497930176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2010-0743) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61511712) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2024-12-16 |