NPI | 1457603532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61322083) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60310464) |
207R00000X Internal Medicine (Licence: WA MD61322083) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2023-06-08 |