NPI | 1285628974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 38323) |
Additional Taxonomies | 208D00000X General Practice (Licence: WA 38323) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2022-09-23 |