| NPI | 1023436557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 167907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60725221) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-07-21 |