| NPI | 1962457432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD00022018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00022018) |
| 207Q00000X Family Medicine (Licence: AK AA2611) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-07-08 |