| NPI | 1659508745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60739971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60739971) |
| 207R00000X Internal Medicine (Licence: SC LL31741) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-04-05 |