| NPI | 1720293707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD150735) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60233378) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD150735) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA 60233378) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-10-18 |