| NPI | 1609304245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61036585) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-10-25 |