| NPI | 1477658102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00032162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G89364) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-05-03 |