| NPI | 1821049446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 44719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 45353) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-11-24 |