NPI | 1043265572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00038621) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD28918) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2012-04-27 |