| NPI | 1851340194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00037721) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-09-20 |