| NPI | 1386835817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60729698) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 37469) |
| 207Q00000X Family Medicine (Licence: FL ME113462) | |
| 208600000X Surgery (Licence: WA ML20008866) | |
| 208D00000X General Practice (Licence: AZ 45569) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2022-07-21 |