| NPI | 1336258292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 68969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047008) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-01-11 |