| NPI | 1053579391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60314140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60314140) |
| 208000000X Pediatrics (Licence: CA A109647) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2018-06-04 |