| NPI | 1154940138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A185611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61632790) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-02-19 |