| NPI | 1346339751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60074830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL27160) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-05-19 |