| NPI | 1851567341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60197513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052423) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-01-08 |