NPI | 1215502208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R3556) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R3556) |
Enumeration Date | 2021-05-23 |
Last Update Date | 2022-06-30 |