| NPI | 1992770549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00019415) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA WA19415) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2010-11-30 |