| NPI | 1669631008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60276691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037699) |
| 208000000X Pediatrics (Licence: WA MD60276691) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-01-27 |