NPI | 1073502142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 10194) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81634) |
207R00000X Internal Medicine (Licence: HI 4617) | |
207R00000X Internal Medicine (Licence: CA A31720) | |
Enumeration Date | 2005-10-20 |
Last Update Date | 2008-03-04 |