NPI | 1285696831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012011172) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME51683) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2015-10-14 |