| NPI | 1518491851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61084047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OL60759265) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-11-02 |