NPI | 1447772017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD484375) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148145) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2024-08-28 |