| NPI | 1780002923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 286415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60683444) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-06-22 |