| NPI | 1275616021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD20060462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60302205) |
| 207R00000X Internal Medicine (Licence: NM MD2006-0462) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-01-13 |