| NPI | 1013192582 |
|---|---|
| Former Name | WIPHADA PATRICIA INGKANISORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D0057808) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |