| NPI | 1083134944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61040798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271364) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-08-12 |