NPI | 1598020752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 182935) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061994) |
207R00000X Internal Medicine (Licence: IN 01081088B) | |
Enumeration Date | 2012-07-12 |
Last Update Date | 2024-04-12 |