| NPI | 1932691060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD223292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 64982) |
| 207Q00000X Family Medicine (Licence: WA 61673228) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-05-28 |