| NPI | 1821302225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085545A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60529766) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-11-22 |