| NPI | 1497784219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-6527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00025772) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-04-30 |