| NPI | 1912224692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60456329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A120352) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-09-06 |