| NPI | 1992062848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA Md60565964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60565964) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2018-06-11 |