NPI | 1578067773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474673) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307008) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-10-22 |