| NPI | 1487944021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD60641812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60641812) |
| 207R00000X Internal Medicine (Licence: TN 51038) | |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2021-06-16 |