NPI | 1245725712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026135) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151010119) |
207R00000X Internal Medicine (Licence: MI 5101024276) | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2023-01-11 |