| NPI | 1588811467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60087862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD160810) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2016-01-13 |