| NPI | 1700864287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60698789) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 101139) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO 101139) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-12-08 |