NPI | 1063862480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101022711) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 33724) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2024-10-04 |