| NPI | 1083652598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS13362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS13362) |
| 207Q00000X Family Medicine (Licence: WA OP00001702) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-01-29 |