| NPI | 1295727881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00044402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A76567) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2023-02-01 |