NPI | 1023421682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 290173) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207002) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2020-07-02 |