| NPI | 1649398256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-2232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002309) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-08-23 |