NPI | 1477083061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17842) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2022-03-16 |