NPI | 1053348896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60192791) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 208594) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2022-01-10 |