| NPI | 1508899725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C185035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12555) |
| 207R00000X Internal Medicine (Licence: WA MD60329600) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-09-27 |