| NPI | 1083881288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDR0000966) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60153854) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-12-12 |