| NPI | 1629130232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD19245) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00031729) |
| 207Q00000X Family Medicine (Licence: CA A50602) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-11-04 |