| NPI | 1518464098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-01895) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD.61474710) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-11-12 |