| NPI | 1063445385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-4493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00036657) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-11-10 |