| NPI | 1154598571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 109612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD70009523) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2026-08-05 |