| NPI | 1831162882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 5211301-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047903) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-12-04 |