| NPI | 1134555980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA PA61327158) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-05-29 |