| NPI | 1316103583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD 60222017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60019673) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-10-30 |