| NPI | 1114996485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043344) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-09-14 |