| NPI | 1518994615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00037547) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 183597) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-09-02 |