| NPI | 1235389933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60096563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046828) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2014-04-21 |