NPI | 1154735587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0083021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169212) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2020-08-21 |