| NPI | 1962088641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD221260) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61556041) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-10-23 |