NPI | 1144757436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.166122) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470125) |
207R00000X Internal Medicine (Licence: NC 2021-01900) | |
Enumeration Date | 2017-05-17 |
Last Update Date | 2023-11-27 |