| NPI | 1295122356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60916507) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA MD60916507) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2026-05-14 |