| NPI | 1619931987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 42566) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-03-27 |