| NPI | 1760619340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60227510) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60097232) |
| 208D00000X General Practice (Licence: WA MD60227510) | |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60227510) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-08-30 |