NPI | 1053769315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD468502) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211835) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2019-10-21 |