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 |