| NPI | 1376656561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD21229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045814) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-03-29 |