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 |