| NPI | 1902102726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A156387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60636082) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-06-03 |