NPI | 1174517122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123735) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12286) |
207R00000X Internal Medicine (Licence: NY 229705) | |
Enumeration Date | 2005-09-06 |
Last Update Date | 2016-01-29 |