| 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 |