NPI | 1245422732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241266) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036229) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2021-06-24 |