| 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 |