| NPI | 1134353857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60480106) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA MD60480106) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2020-07-14 |