NPI | 1225482409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162780) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A167117) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2024-06-19 |