| NPI | 1437721123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.078517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61537741) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-07-01 |