NPI | 1003086828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G069056) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G56069) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2019-04-18 |