| NPI | 1417238494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-39575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60405736) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2025-12-15 |