| NPI | 1194984161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60200279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37770) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-01-18 |