| NPI | 1821161647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60064130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A84112) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-05-24 |