| NPI | 1225204886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60285194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD152940) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-10-14 |