| NPI | 1467624155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60204461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR C-6164) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2021-09-21 |