| NPI | 1093148009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60838299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60838299) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-09-24 |