| NPI | 1194073106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60609851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60609851) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2020-12-04 |