| NPI | 1386797306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00027370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 00027370) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2022-12-28 |