| NPI | 1669434098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00027930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD19087) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-12-06 |