| NPI | 1598367211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 202006424NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP61076984) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |