NPI | 1285126383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1019660) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD473153) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2024-06-20 |