| NPI | 1194983551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60403542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 065707) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2021-06-18 |