NPI | 1386911782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A130995) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060672) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2024-08-22 |