NPI | 1063971067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036160010) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074888) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2022-08-16 |