NPI | 1043425812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71282) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 122414) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-06-10 |