| NPI | 1669442877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00021927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301049061) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-11-21 |