| NPI | 1447387360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD25405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60973402) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-04-28 |