NPI | 1316575053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69573) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30854) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2021-07-15 |