NPI | 1588634778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60082332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00026495) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2014-07-22 |