| NPI | 1477872141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60473491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO219293) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2025-09-19 |