| NPI | 1417996414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217512) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-12-01 |