| NPI | 1265964753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61193143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG201387) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-10-28 |