NPI | 1134312150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17663) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2015-03-26 |