| NPI | 1417903824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60152291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006004160) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-21 |