| NPI | 1629160205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD00030959) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00030959) |
| 208000000X Pediatrics (Licence: WA MD00030959) | |
| 208000000X Pediatrics (Licence: FL ME99703) | |
| 2080H0002X (Licence: FL ME99703) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-08-18 |