| NPI | 1811095094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14588) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA md00045624) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-05-17 |