| NPI | 1780927251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 010260) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60645171) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-10-26 |