| NPI | 1487618740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A84884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100110) |
| 207Q00000X Family Medicine (Licence: WA MD00038602) | |
| 207Q00000X Family Medicine (Licence: OR MD26434) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-11-20 |