NPI | 1588652101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 26538) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IA 26538) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2007-07-08 |