| NPI | 1518287739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD150839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60693541) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-01-08 |