| NPI | 1922480045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD189457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60561772) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-09-19 |