NPI | 1548286354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60453) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 60453) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-06-18 |