| NPI | 1578660528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 6010) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60157114) |
| 207Q00000X Family Medicine (Licence: AK 3076) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-09-01 |