| NPI | 1942869136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61304434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09984) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2022-08-23 |