NPI | 1104278381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0059658) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0006063) |
Enumeration Date | 2016-07-12 |
Last Update Date | 2019-05-15 |