NPI | 1053637801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10689) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.134449) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2020-12-17 |