| NPI | 1699752402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00039852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD163122) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2026-06-10 |