NPI | 1285035030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111660) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024105) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2018-06-11 |