| NPI | 1083664049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G63114) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-03-22 |