| NPI | 1013573856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61311720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 250252) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-03-29 |