| NPI | 1922489590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME131056) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD22843) |
| 207Q00000X Family Medicine (Licence: WA MD60843854) | |
| 207Q00000X Family Medicine (Licence: FL Training) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-01-09 |