NPI | 1093028359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-133694) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315045564) |
207R00000X Internal Medicine (Licence: MI 5101018740) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2021-12-20 |