NPI | 1215665294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301513505) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125080023) |
Enumeration Date | 2022-08-09 |
Last Update Date | 2025-07-22 |