| NPI | 1477812832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60545208) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-05-03 |