NPI | 1013409838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0069068) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04302) |
207R00000X Internal Medicine (Licence: RI MD17670) | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2022-07-08 |