| NPI | 1225418874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO197799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61079786) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2026-01-23 |