| NPI | 1427013275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60125725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 15379) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-02-08 |