| NPI | 1003252354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD202180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60646803) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2024-09-25 |