| NPI | 1063861813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA OP60929320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60929320) |
| 207R00000X Internal Medicine (Licence: PA OT017320) | |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2021-08-06 |