| NPI | 1104189836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-15486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60555346) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-09-21 |