| NPI | 1457399370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD26369) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-08-19 |