| NPI | 1972532745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00037033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID m-7789) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-10-25 |