NPI | 1457767634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 75792) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 57004) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2021-12-21 |