NPI | 1265415137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27084) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 39942) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-09-08 |