NPI | 1396364873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101277938) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2023-10-23 |