| NPI | 1053775015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60969737) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60969737) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-01-05 |