NPI | 1285201566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-06704) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12132) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2024-08-29 |