NPI | 1114996485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26772) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043344) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2015-09-14 |