NPI | 1457514903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7783) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH AR2812750-RH-97) |
Enumeration Date | 2008-07-04 |
Last Update Date | 2023-03-16 |