| 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 |