| NPI | 1003229121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61038822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270713) |
| 207R00000X Internal Medicine (Licence: MA 259164) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2022-12-22 |