NPI | 1629398540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0735) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119187) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2021-07-16 |