| NPI | 1104962133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-7583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 61418860) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-07-19 |