NPI | 1659784148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD225462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60854846) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2025-08-19 |