| NPI | 1972798122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA op00001825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20a7092) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-04-27 |