NPI | 1548245087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D54739) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: MD D054739) |
207R00000X Internal Medicine (Licence: MD D54739) | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2020-12-11 |