| NPI | 1679932347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO201417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA DOL.OL.60655198) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2026-07-09 |