| NPI | 1225001852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00042305) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00042305) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-02-18 |