NPI | 1629463237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO187237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 172264) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2020-11-06 |