NPI | 1477555811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11547) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122980) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2012-10-18 |