NPI | 1467081968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D95579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD210012060) |
207R00000X Internal Medicine (Licence: MD D95579) | |
207R00000X Internal Medicine (Licence: VA 101276608) | |
Enumeration Date | 2020-04-06 |
Last Update Date | 2023-07-31 |