NPI | 1215984547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28393) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 203733) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2010-07-08 |