NPI | 1275616021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD20060462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60302205) |
207R00000X Internal Medicine (Licence: NM MD2006-0462) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2025-01-13 |