| NPI | 1598919029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60065685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086627) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2012-02-09 |