| NPI | 1972536373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD19692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60463242) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-11-09 |