NPI | 1053467647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00044326) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD182667) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-10-20 |