NPI | 1134503188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301114246) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 322552) |
207R00000X Internal Medicine (Licence: IL 125066623) | |
Enumeration Date | 2015-07-18 |
Last Update Date | 2023-06-28 |