NPI | 1639439474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60465047) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60288823) |
Enumeration Date | 2012-05-28 |
Last Update Date | 2025-01-17 |