| NPI | 1699877357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 34460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 34460) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: WA MD60932605) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-12-01 |