NPI | 1265846554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01082161A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016029202) |
207R00000X Internal Medicine (Licence: MO 2014016669) | |
207R00000X Internal Medicine (Licence: OH 35.131794) | |
Enumeration Date | 2014-06-16 |
Last Update Date | 2019-09-12 |