| NPI | 1558586156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60021646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60021646) |
| 208000000X Pediatrics (Licence: WA 60021646) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-03-30 |