| NPI | 1841603818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60917908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10158400) |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2019-02-26 |