NPI | 1235443946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 153558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096667) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2022-02-03 |