| NPI | 1528014636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17584) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00020477) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-08-16 |