| NPI | 1407910425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD60749471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60749471) |
| 207Q00000X Family Medicine (Licence: MN 51613) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-01-08 |