| NPI | 1841376639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 620316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00036360) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-03-11 |