NPI | 1144667270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266885) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02805) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2018-11-29 |