NPI | 1053607192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014022608) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019471) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2017-01-16 |