NPI | 1831659085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WA OP61547738) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61547738) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2024-07-25 |