| NPI | 1548489032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1020181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60021600) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-09-04 |