| NPI | 1528254588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60088515) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60088515) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2017-03-31 |