NPI | 1053817569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 101492) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102206555) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-09-19 |