| NPI | 1598975864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60137256) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-16 |