| NPI | 1548645088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60798694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108266) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-10-28 |