| NPI | 1427580828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61281005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 61649) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-09-02 |