| NPI | 1295736981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00042748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00042748) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2017-04-12 |