| NPI | 1548536865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60564757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRM-1269) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-03-21 |