| NPI | 1194851519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: WA MD60142406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-228311) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-05-18 |