NPI | 1104207984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.156469) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017257) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2021-12-21 |