NPI | 1124312335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD25049) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD25049) |
207R00000X Internal Medicine (Licence: VT 042.0013775) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2023-09-08 |