| NPI | 1942882048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61533994) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0069384) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-07-18 |