NPI | 1518142504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28562) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60655600) |
207R00000X Internal Medicine (Licence: NV 25761) | |
Enumeration Date | 2008-01-08 |
Last Update Date | 2025-09-11 |