| NPI | 1457519019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR 190078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60898769) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2025-05-01 |