NPI | 1376535534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD25268) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246063) |
207R00000X Internal Medicine (Licence: IN 01056644A) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2021-12-27 |