| NPI | 1679675888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60233152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009017491) |
| 207R00000X Internal Medicine (Licence: MO T2006017134) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-08-06 |