| NPI | 1912451360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60930509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS15139) |
| 207R00000X Internal Medicine (Licence: FL UO4424) | |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2019-07-23 |