| NPI | 1891793832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00047344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G48903) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2016-03-02 |