NPI | 1376720052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD186467) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50459) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2018-09-27 |