| NPI | 1851898845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61082126) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WA MD61082126) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2023-06-27 |