| NPI | 1740464007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD 60082300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82426) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2010-02-11 |