| NPI | 1184608366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60209679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88320) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-11-20 |