| NPI | 1861011256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP61576898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61576898) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2026-07-09 |