| NPI | 1568437069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60287362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0429415) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2014-02-13 |