NPI | 1588981138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036136932) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.136932) |
207R00000X Internal Medicine (Licence: PA OT013547) | |
Enumeration Date | 2010-04-22 |
Last Update Date | 2021-08-10 |