| NPI | 1588865539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60034300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-010767) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-12-08 |