| NPI | 1891710745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266995) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-05-10 |