| NPI | 1659580769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00047039) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD27074) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-10-06 |