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 |