NPI | 1003143231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.147464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095446) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2021-12-20 |