| NPI | 1760831051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61083960) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OR DO201207) |
| 207Q00000X Family Medicine (Licence: OR DO201207) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-05-06 |