| NPI | 1679990659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60840817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262297) |
| 207R00000X Internal Medicine (Licence: CA A169251) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-04-29 |