NPI | 1548610116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 39494) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39494) |
207R00000X Internal Medicine (Licence: NC 2019-01150) | |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-10-19 |