| NPI | 1841384880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00002241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2006020984) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-01-06 |