| NPI | 1013119221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 231846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD6024053) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-03-13 |