| NPI | 1063647808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60655650) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60655650) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2024-01-18 |