| NPI | 1164699922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60727720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2012-0062) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2024-07-08 |