| NPI | 1407177918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60715261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-11507) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2017-04-03 |