NPI | 1417691163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7536) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10080885) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2025-07-18 |