NPI | 1578862389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 603613​14) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017527) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2020-07-08 |