NPI | 1588865539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60034300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-010767) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-12-08 |