| NPI | 1780736934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60482804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD26506) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-08-10 |