| NPI | 1801871660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0043379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101010596) |
| 207R00000X Internal Medicine (Licence: WA OP00002334) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2016-04-11 |