NPI | 1063972917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206491) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102206491) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2023-10-12 |