| NPI | 1013106582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60017883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6353479-1205) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2011-03-31 |