| NPI | 1235117367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00044084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD12163) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-04-16 |