| NPI | 1265672281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1069) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60222868) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2020-05-12 |