| NPI | 1497251987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61482007) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 19096) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-02-22 |