| NPI | 1588717276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD23234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039909) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-03-24 |