| NPI | 1376596510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60513451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 3383) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-04-08 |