| NPI | 1255781167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60924650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267326) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2026-06-06 |