| NPI | 1457386583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD23160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60647780) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2026-07-01 |