NPI | 1124556139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020035046) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09293) |
Enumeration Date | 2017-06-03 |
Last Update Date | 2020-11-04 |