NPI | 1215190541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C158408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407045) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2020-02-18 |