NPI | 1376521070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 156836) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 183127) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2021-04-28 |