| NPI | 1801002548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00048113) |
| 208000000X Pediatrics (Licence: WA MD00048113) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-03-17 |