| NPI | 1528368420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60701866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247135) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-05-18 |