NPI | 1316430879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 324473) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD475233) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2023-12-19 |