| NPI | 1578569711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00040841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 282983) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-08-01 |