| NPI | 1629129523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00039202) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00039202) |
| 208000000X Pediatrics (Licence: WA BC5836032) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-15 |