| NPI | 1467409847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00029433) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00029433) |
| 207Q00000X Family Medicine (Licence: WA MD00029433) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-02-12 |