| NPI | 1881823375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60223694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60093535) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2021-06-08 |