| NPI | 1891954111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60722874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD157457) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA MD60722874) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-09-21 |