| NPI | 1699880666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A104450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008357) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-07-25 |