| NPI | 1841797883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR PG215911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61081793) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-07-12 |