| NPI | 1790790582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60130480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G79170) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-04-07 |