| NPI | 1528350253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60843161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-135372) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2021-10-05 |