| NPI | 1518499730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0096667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60959336) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-04-10 |