NPI | 1093700445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254392) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2003-00442) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2023-03-07 |