| NPI | 1689057994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-0817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 1689057994) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-10-23 |