| NPI | 1114028669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C154258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044604) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-10-13 |