| NPI | 1285081802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60775257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60660989) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-01-13 |