NPI | 1407851918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 107280) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 34702) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-11-29 |