| NPI | 1811410244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 95698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61224149) |
| 207Q00000X Family Medicine (Licence: ND RL14599) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-09-12 |