NPI | 1477135580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 33790) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025027927) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2025-09-10 |