NPI | 1316694722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101279633) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101279633) |
Enumeration Date | 2022-03-05 |
Last Update Date | 2025-06-03 |