| NPI | 1457739492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 13262810-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60903926) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-03-22 |