| NPI | 1801004890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039151) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |