| NPI | 1982721858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60026465) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML20008511) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-06-15 |