| NPI | 1003881665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93967) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00044845) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-11-28 |