| NPI | 1609913243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00041013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00041013) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-11-06 |