NPI | 1083690416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13320) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229269) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2024-03-04 |