NPI | 1235669664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98676) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315085473) |
207R00000X Internal Medicine (Licence: OH 35.138951) | |
Enumeration Date | 2017-06-18 |
Last Update Date | 2024-05-16 |