NPI | 1447538798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: WA WA60529765) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60529765) |
207Q00000X Family Medicine (Licence: WA MD60529765) | |
207Q00000X Family Medicine (Licence: IA R9132) | |
Enumeration Date | 2011-08-03 |
Last Update Date | 2023-09-18 |