NPI | 1114371176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036166722) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068929) |
207R00000X Internal Medicine (Licence: WI 70723) | |
Enumeration Date | 2016-04-15 |
Last Update Date | 2024-01-26 |