NPI | 1003005836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59171) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26295) |
207R00000X Internal Medicine (Licence: OH 35.093294) | |
Enumeration Date | 2007-10-17 |
Last Update Date | 2020-08-18 |