| NPI | 1770583577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046728) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-08-25 |