| NPI | 1346225562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 60009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044001) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-03-07 |