| NPI | 1922353044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60698436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60698436) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2020-11-11 |