NPI | 1144646704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD190840) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt205499) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2018-11-28 |