NPI | 1619471091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173244) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 173244) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-09-13 |