| NPI | 1427318963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61162971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H82127) |
| 207R00000X Internal Medicine (Licence: MD H0082127) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-07-21 |