NPI | 1699271874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61079799) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60863428) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2021-06-05 |