| NPI | 1245473933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60286661) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA 60286661) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2020-10-09 |