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 |