| NPI | 1114915147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60806378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD025054E) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-07-30 |