NPI | 1003228651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME135020) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105701) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2021-12-21 |