| NPI | 1073562005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60599732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 70730) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2017-03-30 |