| NPI | 1447992474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD226870) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD70033685) |
| 207Q00000X Family Medicine (Licence: OR PG211060) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-06-30 |