| NPI | 1790246445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO211719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 61313248) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-11-17 |