NPI | 1053597005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 109518) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243128) |
207RS0010X Internal Medicine, Sports Medicine (Licence: CA 109518) | |
Enumeration Date | 2008-01-20 |
Last Update Date | 2023-12-22 |