| NPI | 1801392279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61181113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD.MD.61181113) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-04-11 |