| NPI | 1073074696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD.MD.61417996) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: WA MD61417996) | |
| 208000000X Pediatrics (Licence: WA MD61417996) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-07-06 |