| NPI | 1639580806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60790455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282252) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2019-01-03 |