| NPI | 1861441487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-16517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00037779) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-06-02 |