| NPI | 1356533392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD27712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60741667) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2018-11-14 |