| NPI | 1982648093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 98-299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00047755) |
| 207Q00000X Family Medicine (Licence: OH 35074913) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-07-27 |