NPI | 1497076301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A131359) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA 131359) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2019-05-30 |