NPI | 1417305509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083552A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 0000000000) |
Enumeration Date | 2016-05-30 |
Last Update Date | 2020-08-04 |