NPI | 1144454877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WA MD60282613) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD155918) |
Enumeration Date | 2009-05-09 |
Last Update Date | 2012-06-25 |