| NPI | 1942657671 |
|---|---|
| Former Name | ROSE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 75693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60661994) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: WA MD60876085) | |
| 207Q00000X Family Medicine (Licence: WA MD60876085) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2024-05-10 |