| NPI | 1073798419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00070) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00049036) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-05-06 |