NPI | 1194073106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60609851) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60609851) |
Enumeration Date | 2012-08-22 |
Last Update Date | 2020-12-04 |