| NPI | 1144540774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60385605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017403) |
| 207R00000X Internal Medicine (Licence: WI 56590-20) | |
| 207R00000X Internal Medicine (Licence: WA 60385605) | |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2013-10-08 |