| NPI | 1255422747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-11072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008739) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-04-22 |