| NPI | 1952626772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 131354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60299964) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2014-07-07 |