NPI | 1508276601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34685) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049295) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2019-06-24 |