| NPI | 1740272673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00024887) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WA MD00024887) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2014-05-12 |