| NPI | 1861667701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60488493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD 150469) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-09-10 |