NPI | 1154501799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T5140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65974-20) |
207R00000X Internal Medicine (Licence: IL 036-121516) | |
Enumeration Date | 2007-11-12 |
Last Update Date | 2023-01-26 |