NPI | 1093063513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD460305) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281829) |
207R00000X Internal Medicine (Licence: DE C1-0012042) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2024-11-27 |