NPI | 1083147136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME168949) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 304131) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2024-09-19 |