| NPI | 1922237569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA 60327069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60327069) |
| 208000000X Pediatrics (Licence: AZ 46167) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-07-01 |