| NPI | 1184659674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0062604) |
| 207R00000X Internal Medicine (Licence: PA MD444615) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-11-12 |