NPI | 1174573281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076855A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45266) |
207R00000X Internal Medicine (Licence: NC 9901142) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2022-12-20 |