| NPI | 1467881441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60858768) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD195030) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2024-06-14 |