| NPI | 1073617627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD 00017009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-056496) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |