NPI | 1982624318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 133414) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00026804) |
207Q00000X Family Medicine (Licence: WA MD00026804) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2021-02-18 |