NPI | 1518498880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10059631) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME154872) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-08-24 |