| NPI | 1629196282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 59825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00047733) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML20008124) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-11-06 |