| NPI | 1306124334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61283079) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 1066819) |
| 207R00000X Internal Medicine (Licence: OR PG193937) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-06-29 |