NPI | 1043740558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3995) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030751) |
Enumeration Date | 2017-06-16 |
Last Update Date | 2024-01-10 |