| NPI | 1548285661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60079035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90150) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-01-20 |