| NPI | 1194088427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60681701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012013839) |
| 207R00000X Internal Medicine (Licence: OR MD179430) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2026-03-02 |