| NPI | 1912141250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60667425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI lp01671) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2016-11-17 |