NPI | 1265847164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 278994) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03200) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2019-09-03 |