| NPI | 1417931262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61476945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD217699) |
| 207R00000X Internal Medicine (Licence: TX L1625) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-05-16 |