NPI | 1326622333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01330) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 83639) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2024-08-08 |