| NPI | 1902005549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60100998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60100998) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-11-19 |