| NPI | 1447358734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD12341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 3504) |
| 207R00000X Internal Medicine (Licence: WA MD00018777) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-02-04 |