| NPI | 1427374461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60268030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 11101) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2022-06-22 |