| NPI | 1952706137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO193240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60660055) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-10-03 |