| NPI | 1558672345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60391044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.058855) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2020-12-01 |