| NPI | 1245221126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60535266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M8663) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-01-28 |