NPI | 1336596691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58199) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267620) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2019-11-16 |