| NPI | 1225006596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 19541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD 00040946) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2013-04-12 |