| NPI | 1407870413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00019297) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: WA MD00019297) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-07-18 |