NPI | 1558682963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A12537) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0727) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2021-12-03 |