NPI | 1275520009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 15404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0010649) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2018-04-26 |