| NPI | 1417377607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A143128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61176251) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2025-08-07 |