| NPI | 1780002170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61003864) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD61003864) |
| 207R00000X Internal Medicine (Licence: MD D86162) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD61003864) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201114) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2026-05-26 |