| NPI | 1790885796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD19531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00031951) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR MD19531) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-06-24 |