| NPI | 1588634778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60082332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00026495) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-07-22 |