| NPI | 1316472707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61036548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MC-2603) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-07-02 |