NPI | 1164589818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD25708) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD25708) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-03-07 |