| NPI | 1790866424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00047064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD166330) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-04-27 |