| NPI | 1952479859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60069036) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A86745) |
| 207R00000X Internal Medicine (Licence: CA A86745) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-05-01 |