| NPI | 1730298472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 323990-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00026019) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-07-02 |