| NPI | 1093176398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60968552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60968552) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-12-05 |