| NPI | 1164529038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD35079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00035079) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-03-26 |