NPI | 1306280631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71117) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35129133) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2022-05-25 |