| NPI | 1215358585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO211172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60764101) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-07-26 |