NPI | 1619193158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 48561) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00842) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-06-04 |