| NPI | 1285861989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO176333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60188240) |
| 207Q00000X Family Medicine (Licence: OR DO176333) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-01-22 |