NPI | 1124333455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA 12765) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12765) |
207R00000X Internal Medicine (Licence: MI 5101018747) | |
207R00000X Internal Medicine (Licence: OR DO184048) | |
208M00000X Hospitalist (Licence: CA 20A12765) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2024-08-08 |