| NPI | 1932159258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-8255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039817) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-31 |