| NPI | 1942261516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.119255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00041572) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-07-10 |