NPI | 1245853696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04931) |
Enumeration Date | 2020-05-20 |
Last Update Date | 2024-08-05 |