| NPI | 1558537621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60122589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-11006) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-12-03 |