NPI | 1164089249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 289203) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP04560) |
Enumeration Date | 2019-05-23 |
Last Update Date | 2021-06-29 |