| NPI | 1720034242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60621875) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 26518) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-10-03 |