| NPI | 1518194224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60295669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.055953) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2026-04-28 |