| NPI | 1598010092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60579743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OL 60290965) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-08-11 |