| NPI | 1467544502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61373222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD21650) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-01-06 |