NPI | 1104454479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 82845-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 1952311243) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-01-30 |