| NPI | 1861575060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60546585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 49674020) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-03-16 |