NPI | 1487094041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C180349) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74161) |
207R00000X Internal Medicine (Licence: WA MD 60590060) | |
Enumeration Date | 2013-06-27 |
Last Update Date | 2022-09-26 |