NPI | 1033464979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152423) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252967) |
207R00000X Internal Medicine (Licence: VA 0101256897) | |
207R00000X Internal Medicine (Licence: MD D0083080) | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2021-08-20 |