| NPI | 1417946542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00037254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00037254) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-04-28 |