| NPI | 1881183853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61397804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O-1975) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2024-06-25 |