| NPI | 1295823847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO24488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00002071) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-10 |