| NPI | 1982751319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00046453) |
| 207R00000X Internal Medicine (Licence: ID MD8336) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD00046453) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2021-04-07 |