| NPI | 1831171719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C53026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039957) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-03-25 |