| NPI | 1134363393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C149230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253471) |
| 207R00000X Internal Medicine (Licence: WA MD60467422) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2022-07-21 |