NPI | 1083842025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD452977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270455) |
207R00000X Internal Medicine (Licence: MD D82674) | |
Enumeration Date | 2009-06-29 |
Last Update Date | 2023-12-11 |