| NPI | 1548295058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 46646) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-08-03 |