| NPI | 1770709636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60579721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235519) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-09-15 |