| NPI | 1851615520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A128870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60340270) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2019-10-22 |