| NPI | 1689022717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61054288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61054288) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-07-01 |