| NPI | 1750733549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61495837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19150) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-12-08 |