| NPI | 1659784148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD225462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60854846) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2025-08-19 |