NPI | 1386708923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 61557) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD9511) |
207R00000X Internal Medicine (Licence: MA 74972) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2018-07-13 |