NPI | 1225567456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61266063) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070537) |
Enumeration Date | 2017-06-10 |
Last Update Date | 2022-03-29 |