| NPI | 1336406107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60671178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD167984) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2016-10-20 |