| NPI | 1639353287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60044283) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA md60044283) |
| 207R00000X Internal Medicine (Licence: WA md60044283) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2020-11-17 |