| NPI | 1912961426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A60289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 36057) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2011-08-25 |