| NPI | 1144289125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD20219) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |