| NPI | 1720370208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A140371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60461993) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2016-10-07 |