| NPI | 1407827850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60593180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11075) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-07-13 |