| NPI | 1518937895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60659782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD070194L) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2017-02-02 |