| NPI | 1780600973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 6620038-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040979) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-06-07 |