NPI | 1417449273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152684) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4810) |
207R00000X Internal Medicine (Licence: IA MD-48690) | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-07-09 |