| NPI | 1518115393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60563033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53392) |
| 208000000X Pediatrics (Licence: WA MD60563033) | |
| 208000000X Pediatrics (Licence: WI 53392) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2021-06-16 |