| NPI | 1699791178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C54621) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD20723) |
| 207Q00000X Family Medicine (Licence: WA MD00041586) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-12-12 |