NPI | 1538170717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 177893) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP385) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2018-12-13 |