| NPI | 1164468187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-11715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00037723) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-10-03 |