| NPI | 1235106758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2766) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WA MD00037438) |
| 207R00000X Internal Medicine (Licence: WA MD00037483) | |
| 207R00000X Internal Medicine (Licence: WA MD00037438) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WA MD00037438) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2018-03-17 |