| NPI | 1598408817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD225310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61684463) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-07-30 |