| NPI | 1508248725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60931730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108023) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-10-28 |