| NPI | 1932363777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.122797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD154264) |
| 207Q00000X Family Medicine (Licence: WA MD603229220) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL17990) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-11-07 |