| NPI | 1487619060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422343) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-06-23 |