| NPI | 1942735832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61199533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60955232) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-04-28 |