NPI | 1366963779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.72773) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61156249) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2024-10-15 |