| NPI | 1932441409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60642206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD455646) |
| 207Q00000X Family Medicine (Licence: NM MD2016-0692) | |
| 207Q00000X Family Medicine (Licence: WA ML60370894) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-01-14 |