| NPI | 1750716866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD 60566283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127440) |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2018-10-10 |