NPI | 1265814982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310167) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018440) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2022-04-03 |