| NPI | 1467026617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61570708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL61177307) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-12-05 |