| NPI | 1831552306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A161849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-44022) |
| 207Q00000X Family Medicine (Licence: WA MD61067297) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-06-20 |