NPI | 1013172717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 58530) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 11934) |
207R00000X Internal Medicine (Licence: PA MT191996) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2023-05-17 |