| NPI | 1528445368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60900667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 4861065) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-08-20 |