| NPI | 1477670644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60396604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12507) |
| 207R00000X Internal Medicine (Licence: OR MD178263) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-11-12 |