NPI | 1629340948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279258) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 053358) |
207R00000X Internal Medicine (Licence: AR E-10489) | |
Enumeration Date | 2012-02-01 |
Last Update Date | 2018-03-17 |