| NPI | 1528383429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60689224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006836) |
| 207R00000X Internal Medicine (Licence: CO 50084) | |
| 207R00000X Internal Medicine (Licence: OK 4742) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2019-10-08 |