| NPI | 1932213048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD25556) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00043867) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |