| NPI | 1821264862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60003292) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2021-12-17 |