NPI | 1588152334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023005806) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142381) |
207R00000X Internal Medicine (Licence: KS 04-47298) | |
Enumeration Date | 2018-04-27 |
Last Update Date | 2023-02-21 |