NPI | 1124467519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286470) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141394) |
207R00000X Internal Medicine (Licence: VT 0420013644) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2018-03-17 |