NPI | 1508129115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157547) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101007) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2022-09-08 |