| NPI | 1144337270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA WA MD00026600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR OR MD 15286) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-12 |