| NPI | 1447632146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO189142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60560489) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2026-08-05 |