| NPI | 1003995572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60071478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5198147-1205) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-11-30 |