| NPI | 1750607800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60575928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119005) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2021-04-28 |