| NPI | 1689800815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60265227) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2016-03-24 |