| NPI | 1134344286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60128121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059204) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-05-05 |