| NPI | 1760612931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60235414) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-05-13 |