NPI | 1801004890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00039151) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |