| NPI | 1669566006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60344911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT1352) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-12-18 |