NPI | 1386083533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60653818) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 506027) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2025-02-24 |