| NPI | 1043690910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61686351) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: ID 9871652) |
| 207Q00000X Family Medicine (Licence: ID 9871652) | |
| 207Q00000X Family Medicine (Licence: CA a147541) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA MD61686351) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-10-01 |