NPI | 1003876228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 047809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232576) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2017-01-10 |