| NPI | 1811987605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C183729) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61492250) |
| 207Q00000X Family Medicine (Licence: CO 43267) | |
| 207Q00000X Family Medicine (Licence: TX U7792) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-03-28 |