| NPI | 1881770501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044047) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-03-25 |