| NPI | 1043447287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60562846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8746) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-06-16 |