| NPI | 1538182993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 26126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 15026) |
| 207R00000X Internal Medicine (Licence: WA MD00032258) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-12-15 |