| NPI | 1780676783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61459577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 7122) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2024-09-27 |