| NPI | 1841644234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60963391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG177159) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-04-28 |