NPI | 1275794133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248354) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038994) |
207R00000X Internal Medicine (Licence: MD D75261) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2014-09-16 |