| NPI | 1932303708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 36190) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 70612) |
| 207Q00000X Family Medicine (Licence: OR DO153324) | |
| 207Q00000X Family Medicine (Licence: WA OP60048337) | |
| 207Q00000X Family Medicine (Licence: TX M5928) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-10-01 |